Pharmacology Assessment A / Real Exam Questions with Correct Answers, A+ Score Solutions.
Quiz____?A nurse is caring for a client who has multiple sclerosis and has a new prescription for baclofen. Which of the following findings indicates to the nurse that the medication is having a therapeutic effect?
- Decreased muscle spasticity
- Increased urinary output
- Increased mental alertness
- Decreased heart rate
- Decreased muscle spasticity
The nurse should identify that baclofen is an antispasmodic that decreases muscle spasticity in a client who has multiple sclerosis.
Urinary frequency is an adverse effect of baclofen rather than a therapeutic effect.
Baclofen is an antispasmodic that can cause CNS adverse effects, such as drowsiness, fatigue, and confusion, and does not produce an increase in the client's mental alertness as a therapeutic effect.
Baclofen is an antispasmodic and does not decrease the client's heart rate as a therapeutic effect. - Answer✓✓
The nurse should identify that baclofen is an antispasmodic that decreases muscle spasticity in a client who has multiple sclerosis.Quiz____?A nurse is collecting data from a client who is taking ferrous sulfate orally. Which of the following findings reported by the client should indicate to the nurse that the medication is having a therapeutic effect?Page 1 of 35 1 / 4
- Passage of a soft, formed stool daily
- Decreased number of viral illnesses
- Improved ability to fall asleep
- Increased tolerance to exercise
- Increased tolerance to exercise
- Hyperglycemia
- Allergy to penicillin
- History of myocardial infarction
Passing a soft, formed stool is not an indication the medication is having a therapeutic effect. Ferrous sulfate can cause constipation.
A decreased number of viral illnesses is not an indication the ferrous sulfate is having a therapeutic effect.
An improved ability to fall asleep is not an indication the ferrous sulfate is having a therapeutic effect.
The client who takes ferrous sulfate, which is used to treat iron-deficiency anemia, can have fatigue and shortness of breath due to a low hemoglobin level.An increased tolerance to exercise is an indication - Answer✓✓
The client who takes ferrous sulfate, which is used to treat iron-deficiency anemia, can have fatigue and shortness of breath due to a low hemoglobin level.An increased tolerance to exercise is an indication the ferrous sulfate is having a therapeutic effect. Increased tolerance to exercise occurs when the hemoglobin level increases, allowing more oxygen to be carried to the vital organs and tissue.Quiz____?A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain. The nurse should identify that which of the following findings is a contraindication to receiving celecoxib?
Celecoxib is not contraindicated for a client who has hyperglycemia.
Celecoxib can cause hypersensitivity reactions in clients who are allergic to sulfonamides or salicylates rather than penicillin.
Celecoxib increases the risk of myocardial infarction caused by increased vasoconstriction and unimpeded platelet aggregation. It is contraindicated for a client who has a history of myocardial infarction or heart disease.Page 2 of 35 2 / 4
- Peptic ulcer disease
- History of myocardial infarction
- Alcohol
- Cocaine
- Barbiturates
- Heroin
- Cocaine
Celecoxib should be used with caution for clients who have peptic ulcer disease; however, it is not contraindicated. - Answer✓✓
Celecoxib increases the risk of myocardial infarction caused by increased vasoconstriction and unimpeded platelet aggregation. It is contraindicated for a client who has a history of myocardial infarction or heart disease.Quiz____?A client comes to an urgent care clinic and announces with great enthusiasm, "I am an expert at all things medical as they apply to me, and I require zolpidem." The client's pupils are dilated, along with an elevated heart rate and blood pressure level. The nurse should suspect intoxication with which of the following substances?
The client who has alcohol intoxication typically has slurred speech, drowsiness, impaired judgment, irritability, and decreased blood pressure.
The client who has cocaine intoxication typically has tachycardia, elevated blood pressure, dilated pupils, and displays delusions. This client's behavior and physiological data indicate cocaine intoxication.
The client who has barbiturate toxicity typically has respiratory depression, constricted pupils, drowsiness, impaired judgment, irritability, and decreased blood pressure.
The client who has her - Answer✓✓
The client who has cocaine intoxication typically has tachycardia, elevated blood pressure, dilated pupils, and displays delusions. This client's behavior and physiological data indicate cocaine intoxication.Page 3 of 35 3 / 4
Quiz____?A nurse is planning to administer metoprolol to a client who has heart failure and a heart rate of 48/min. Which of the following actions should the nurse take?
- Ambulate the client before administering the medication.
- Give the medication when the client has an empty stomach.
- Administer one-half of the client's prescribed dose.
- Withhold the client's -
- Withhold the client's medication.
A client who has a heart rate of 50/min or below can become hypotensive.Therefore, ambulating can increase the client's risk of falling. However, the nurse should not administer this medication because of the client's bradycardia.
The nurse should administer the medication to the client with meals or immediately after meals. This medication can mask manifestations of hypoglycemia if the client has diabetes.
The nurse should notify the provider of the client's heart rate to determine when to administer the next dose or if a decrease in the dosage is needed.
Answer✓✓
The nurse should withhold the metoprolol when the client's heart rate is 50/min or less and notify the provider.Quiz____?A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL to infuse over 8 hr. The drop factor on the manual IV tubing is 15 gtt/mL. The nurse should ensure that the manual infusion is set to deliver how many gtt/min?(Round the answer to the nearest whole number. Use a leading zero if it applies.Do not use a trailing zero.) - Answer✓✓
Step 1: What is the unit of measurement the nurse should calculate? gtt/min
Step 2: What is the quantity of the drop factor that is available ? 15 gtt/mL
Step 3: What is the volume the nurse should infuse? 1,000 mL
Step 4: What is the total infusion time? 8 hr
Step 5: Should the nurse convert the units of measurement? Yes (hr does not
equal min) Page 4 of 35
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